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ti .WAIN OF CUSTODY RECL .D <br /> SAMPLERS:tsrpn•wrwr <br /> SHIPPING INFORMATION <br /> Phone: <br /> SHIP TO: Shipper <br /> Address <br /> Date Shipped <br /> Shipment Service <br /> Airbill No, <br /> ATTENTION: Cooler No. <br /> Phone No. - <br /> Relinquished by:(Signature) Received by: rsignwure) Date/Time <br /> Rellnquiahed by:(Signature) Received by:tSignarure) Date/Time <br /> Relinquished by:(Signa,ura) Receivedby: ; fgnarure Datell Tr—me <br /> Relinquished by:Islgnature) Receive for laboratory by':rs,gna,ure) Date;Time <br /> 'Analysis laboratory should complete,"sample condition upon receipt",section below,sign and return top copy to <br /> J.H. KLEINFELDER&ASSOCIATES, 1975"E"Street, Fresno,California 93708. <br /> Sample Site Date Analysis Sample Condition <br /> _.. Number identification Sampled Requested Upon Receipt <br /> r3 1 L -A <br /> 6-3 S !G 9 rr I. <br /> P�- s )r, .i <br /> Ij <br /> LAB INSTRUCTIONS: Laboratory reports should reference and be billed by site ID! and contain the following: <br /> -- -- <br /> -011--summary of analytical-aethodology-and-QA work-(blanks,-spikes;duplicates)— -- --_ ---- -- -- - -- <br /> (2) dates for (a) sampling. 1b) lab receipt, (c) extraction, {d) injection/analysis <br /> '3) detection liaits for all constituents analyzed for and reporting of all constituents detected which were not <br /> specifically designated <br /> (5) <br /> _ White - Sa,noler Canary - J. H. Kleinfoldpr A Accnriatns P1ntr - i at, rmurtne. <br /> ION r%l <br /> ME RUMODUa <br /> DOCCr . GAMN B'� <br /> } <br /> IMPR�� DUE `� IM, <br /> oa IDTTZa�T OF THE �� E <br />